Couples Therapy

Couples therapy sessions with me can be 60 or 90 minutes long. For more intense work, half and full-day sessions are available, particularly for those couples who need an intervention for their relationship or who are in a crisis, or live far from my offices in Los Angeles, California.

Sessions are for couples of any orientation, gender, or commitment level. If you have a desire to increase your connection and improve communication, therapy can help. Most couples come to therapy to focus on specific conflicts or stressors or want more depth and passion in their relationship – or both!

Using Imago Relationship Therapy and sexuality counseling, the sessions can focus on many things. How we create your unique session will be based on what you need as a couple in order to develop new ways to resolve your conflict, increase connection, and achieve true intimacy.

Couples Therapy Sessions can cover:

• Infidelity and Affairs
• Conflict and Arguing
• Relationship Issues
• Open marriage Negotiation
• Communication Patterns
• Behavior Change Requests
• Parenting and Second Marriage

Sexuality
• Desire discrepancy
• Sexual dysfunction
• Passion Instruction
• Polyamory

Addictions
• Substance abuse
• Alcoholism
• Sex Addiction/compulsion
• Pornography Addictions

Other issues that come up in sessions
• Depression
• Anxiety

During the couples therapy sessions, we will use techniques like some of the following…

Imago Relationship Therapy is a form of couple’s counseling developed by Harville Hendrix, the author of Getting the Love You Want. Imago Relationship Therapy helps couples to create a safe space to find empathy and validation through mirroring and deep listening. This type of couple’s counseling works well for all types of communication issues, sexuality counseling, co-dependency counseling, and other issues as well. I have used these techniques in two of my books, Getting the Sex You Want as well as The New Monogamy. I can guarantee that these techniques will work for you.

Sex therapy can help with desire discrepancies, erectile issues, affairs, sex addiction, and orgasmic dysfunction and pain. Pleasurable sex is important for all couples as well as creating emotional intimacy in a sexual and erotic relationship. Learn to share your fantasies, increase sexual empathy, and work on a new monogamy agreement that works for you.

If you are coming for sex therapy, there are no hands-on or intrusive medical procedures involved in sexology. There is never physical contact or inappropriate contact between therapist and client. You will not do physical sexual coaching or exercises in the sessions but may have take-home exercises for practice.

Create a new monogamy agreement or renew one that needs updating. Your monogamy agreement should not be a one-time contract that you make when you say “I do,” it needs updating as you grow and change. You can create a new vision for your monogamy and begin a new relationship going forward. Start over anytime, and begin the relationship of your dreams.

These approaches can help your relationship in all aspects of your life, if you have questions about couples therapy, or need more information, contact Dr. Tammy Nelson.

All fees for service are nonrefundable. You are responsible for checking with your insurance provider to check for reimbursable coverage. Telehealth sessions may or may not be reimbursable. Full fee is due at the time of service. Sliding scale available upon request. Referal to alternate low fee providers available upon request. Invoice for services rendered available by email. You must provide 24 hours notice prior to canceling an appointment to avoid being charged for a full session.